Individual
DR. STEVEN MICHAEL LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 W WASHINGTON ST, SAN DIEGO, CA 92103-2005
(858) 658-6500
Mailing address
16004 86TH ST, HOWARD BEACH, NY 11414-3030
(718) 514-3223
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A175894
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2017
Last updated
05/30/2024
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